Final answer:
Cold gel packs are recommended for managing engorgement in breastfeeding clients as a nonpharmacological method to reduce swelling and discomfort, while ibuprofen is pharmacological and not the focus here, and hot compresses might exacerbate the condition.
Step-by-step explanation:
When it comes to managing engorgement in a breastfeeding client, it is important for healthcare providers to suggest nonpharmacological methods that are safe for both the mother and the baby. Among the options provided - cabbage leaves, hot compress, ibuprofen, and cold gel packs - the recommended application is cold gel packs. Engorgement can lead to pain and discomfort due to swelling of the breast tissue as it fills with milk, blood, and other fluids. Applying cold gel packs can help reduce swelling and provide relief for engorgement discomfort. The use of cabbage leaves is also a traditional remedy that has been reported to help reduce swelling and pain, but it is important that the client is not allergic to cabbage. On the other hand, while ibuprofen is an effective nonprescription pain medication, it is a pharmacological agent, and some may prefer to avoid medications while breastfeeding. Hot compresses might increase blood flow and could potentially worsen engorgement. Therefore, the nurse's recommendation for this scenario aligns with standard practices for treating engorgement nonpharmacologically.